Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,888.56 / $9,972.00 / $20,400.00	Facility		$1,888.56	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,382.26 / $1,956.62 / $2,227.35	Professional		$1,382.26	$1,956.62	$2,227.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,146.08 / $1,748.46 / $2,559.28	Facility		$1,146.08	$1,748.46	$2,559.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,264.55 / $1,683.84 / $1,782.28	Facility		$1,264.55	$1,683.84	$1,782.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,146.08 / $1,909.96 / $2,559.28	Facility		$1,146.08	$1,909.96	$2,559.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00